Nursing HomeInspections

Greenfield Rehab and Nursing Center

Nursing home in Royal Oak, MI

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (248) 288-6610Send a messageMap ↗

Public-record details

Address
3030 Greenfield Ave, Royal Oak, MI 48073
Phone
(248) 288-6610
Listed under
For-profit
Medicare CCN
235433
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
105
Average residents per day
81
Ownership
For-profit, limited Liability company
Legal business name
Diversified Rehab Services, LLC
Chain
Optalis Health & Rehabilitation (36 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 14, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 235433. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 25, 2025. CMS lists 81 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 4, 2023 to Jun 15, 2026): 39 from complaint inspections, 6 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jun 15, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 15, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 15, 2026Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 15, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 15, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread
Apr 29, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 10, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 10, 2026Provide activities to meet all resident's needs.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 7, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		G
Actual harm, isolated
Jul 25, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 25, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 25, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 81. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $367,987 and 2 denials of Medicare payment for new admissions in the last three years.

Oct 7, 2025Fine: $26,685
Jul 25, 2025Fine: $234,637
Jul 25, 2025Payment denial for 7 days from Aug 22, 2025
Oct 23, 2024Fine: $39,585
Apr 24, 2024Fine: $67,080
Apr 24, 2024Payment denial for 14 days from May 28, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.34 hours
Registered nurse (RN) time per resident per day
0.61 hours
Nurse aide time per resident per day
1.79 hours
Total nurse staffing on weekends
3.01 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
42%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.